Lovenox(enoxaparin) SQ

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  1. Where do you inject Lovenox SQ

    • 1460
      Abdomen
    • 78
      Deltoid area (SQ)
    • 61
      Other

1,599 members have participated

Where do you inject it? I was told ALWAYS SQ in the abdomen. If given other areas can cause bleeds and hematoma.

Hi I was told to give Lovenox in the abdomen usung Z track new to me since I've always given it SQ or is that the same thing. On orientation at a new facility and the nurse working with me said it should be Z trac is she correct?

From my understading Z tracks are IM's, not SC. The point of a Z track is to get past the SC and into the muscle without irritating the SC. Anyone else agree?

Also, I learned the 3 don'ts to help me: Don't pinch, Don't aspirate, Don't massage. I remember it by PAM. Hope this helps :D

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Thank you so much Natalie I knew Ztrach was IM but I was working with the perfect nurse and she questioned all I did. I did inform her that I have been a nurse for 15 years but you can always learn Thanks again

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Hey no problem! I'm just learning this stuff for the first time so I can understand! And if you are sure of something then don't let people make you doubt yourself. :D

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Where do you inject it? I was told ALWAYS SQ in the abdomen. If given other areas can cause bleeds and hematoma.

All we were ever taught was to give Lovenox SQ in the abdomen only.

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Where do we give (if at all) a SQ lovenox shot to an extremely emaciated patient? I could not find a fold of fat at all anywhere abdominally, no love handles. What do I do?

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Where do we give (if at all) a SQ lovenox shot to an extremely emaciated patient? I could not find a fold of fat at all anywhere abdominally, no love handles. What do I do?

Gee... if the patient extremely emaciated then you're probably not gonna find decent folds of fat anywhere on that person, so an alternate location wouldn't make sense. I'd let the Primary know about this.

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HI:

i have read several of the posts---i am a little nervous. I am starting Lovenox injections tomorrow with the hope of sustaining a pregnancy. I have one child & have had several m/c after the 1st birth. After some research & meetings with a DR-I decided to try Lovenox. Both DR & pharmacist said it's ok to administer the shot in thigh or bottom---i have no proven clotting issues. Should I be administering this in the abdomen? does it truly matter? I'm confused.... thanks

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Specializes in cardiac/critical care/ informatics.

I have recently researched this very topic, we were taught to always give in abd. Pt refused to have it given in the abd, and you bet I contacted the MD, both the research and he said that it really didn't matter. I had trouble finding research the supported only abd injection.

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I have a different twist to the Lovenox Sq injection discussion. I just started to inject myself with Lovenox for fertility reasons. I have been a nurse for 19 years and I never knew they hurt so bad. I am not a wimp when it comes to pain either. I came to the internet to find out any creative ways to reduce bruising and pain. I really don't want textbook rules, just creativity to get me through 9 months of pain. Numbing the area with ice, constricting blood vessels?? Just out of a hot shower is not good, more bruising. I do use abdominal sites but I was looking for any sugestions. The injection itself isn't bad but the medicine really stings going in.

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Specializes in icu, neuro icu, nursing ed.

when it was first introduced, we were inserviced by the drug rep to give it in the "love handles" ("Administration should be alternated between the left and right anterolateral and left and right posterolateral abdominal wall." ).

later, we were told we could give in abdomen as well.

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Specializes in ER/Geriatrics.

I voted abdomen for all the reasons mentioned....what scares me most about threads like this is the attitude of so many...they give care how they want....not according to policy and procedure....it really is a huge problem amongst nurses. I find it quite disturbing.

Liz

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I remember once giving a Lovenox shot and the patient asked me "Can't you just give it in my arm? That's what the nurse did yesterday." It had never even crossed my mind that it could be given anywhere except the abdomen. I said sorry, but it really had to be in the abdomen. Does anyone know if there's a similar guideline for Epogen? Or is it okay to give in the back of the arm?

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